NPI: 1992945109 · LEWISVILLE, TX 75067 · Pediatric Nurse Practitioner · NPI assigned 02/27/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 74 | $580.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 74 | 41 | $580.16 |